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Washington rates for MS-DRG 664

Minor bladder procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,258.40 / $25,931.70 / $45,665.80
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,942.38 / $22,270.24 / $32,374.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,033.48 / $20,163.29 / $33,778.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,237.09 / $19,532.70 / $26,444.78
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,112.03 / $20,041.95 / $30,298.06
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,309.33 / $21,570.02 / $29,297.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $16,242.65 / $44,380.18